Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements Data and Policies
Detailed state and national data related to the 2025 Reconciliation Law Medicaid Work Requirements
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Detailed state and national data related to the 2025 Reconciliation Law Medicaid Work Requirements
KFF's interactive tracks key data and policies that will affect how states implement Medicaid work requirements, which are required under the 2025 budget reconciliation law starting in January 2027. The tracker includes state-level data on Medicaid enrollment and renewal outcomes as well as current state enrollment and renewal policies.
A list of the implementation questions relating to the Medicaid work requirements in the 2025 Reconciliation law.
State-by-state information on Medicaid 1115 work requirement waivers.
KFF resources on the Medicaid work requirements in the 2025 Reconcilation law.
Medicaid work requirements may make it more difficult for some SSI applicants to maintain coverage due to the added complexity of navigating the verification process for the medical frailty exclusion. KFF's policy analysis explains why SSI applicants are particularly at risk of going uninsured under the new Medicaid rules.
This analysis estimates that 1.2 million uninsured individuals in the ten states without Medicaid expansion, including many working adults, people of color, and those with disabilities, remain in the "coverage gap," ineligible for Medicaid or for tax credits that would make coverage affordable through the Affordable Care Act's Marketplaces.
State Medicaid programs must inform people affected by new work requirements with federally required notices, and most states are planning other types of outreach, including phone calls, public ads, and social media posts. This brief describes the federal outreach requirements and state plans, as well as the complexities and tight implementation timelines states face.
On July 23, KFF and States Newsroom hosted an event focused on the impacts of work requirements and other federal policy changes on states, health care systems, and the people who rely on Medicaid.
Section 1115 Medicaid waivers can allow states to test new approaches in Medicaid that differ from what is required by federal law. This page tracks approved and pending waiver provisions (including expansions and restrictions) related to eligibility, benefits, and social determinants of health and other delivery system reforms.
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